Provider Demographics
NPI:1336290899
Name:COMERT, PIYALE (PHD)
Entity Type:Individual
Prefix:DR
First Name:PIYALE
Middle Name:
Last Name:COMERT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319A NW 55TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2705
Mailing Address - Country:US
Mailing Address - Phone:206-632-2350
Mailing Address - Fax:
Practice Address - Street 1:4510 THACKERAY PL NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4842
Practice Address - Country:US
Practice Address - Phone:206-632-3268
Practice Address - Fax:206-545-9223
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY1638103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS06795Medicare UPIN
WAG217-000-470Medicare ID - Type Unspecified